Abstract
Hypertension is a common disease that greatly impacts the health of the elderly. However, the status of blood pressure (BP) control in the elderly Korean population has not yet been investigated. Subjects aged 65 years or older livings in Seongnam city, a suburb of Seoul, Korea, were included in this study. All subjects were evaluated by a physician, and medication was reviewed by a nurse. Seated BPs were measured by a trained nurse using standard methods. A total of 995 subjects were included in the current analysis (mean age: 76.3±8.7 years). The prevalence of hypertension was 68.7% in the study population, and this value increased with age, peaked in the 75−84 age group, and decreased thereafter. Only 66.1% of hypertensive patients had taken any antihypertensive medication, among which calcium channel blockers (64.2%) were most commonly used. Among the patients on antihypertensive medication, 46% were on combination drug therapy. BP was controlled in 38.5% of hypertensive patients, with systolic BP less controlled than diastolic BP, especially in the oldest-old population. The BP control rate was lower in high-risk patients of diabetes and renal disease. In conclusion, in community resident elderly populations, the BP control rate remains unsatisfactory, especially in high-risk patients. The benefit and optimal level of BP control in oldest-old population must be investigated because a lot of elderly hypertensive patients are currently being managed without definite evidence of related benefits. (Hypertens Res 2008; 31: 97−105)
Similar content being viewed by others
Article PDF
References
Lakatta EG, Levy D : Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part I: aging arteries: a “set up” for vascular disease. Circulation 2003; 107: 139–146.
Amery A, Birkenhager W, Brixko R, et al : Efficacy of antihypertensive drug treatment according to age, sex, blood pressure, and previous cardiovascular disease in patients over the age of 60. Lancet 1986; 2: 589–592.
Bulpitt CJ, Beckett NS, Cooke J, et al : Results of the pilot study for the Hypertension in the Very Elderly Trial. J Hypertens 2003; 21: 2409–2417.
SHEP Cooperative Research Group : Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results of the Systolic Hypertension in the Elderly Program (SHEP). JAMA 1991; 265: 3255–3264.
Staessen JA, Fagard R, Thijs L, et al, The Systolic Hypertension in Europe (Syst-Eur) Trial Investigators : Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. Lancet 1997; 350: 757–764.
Chaudhry SI, Krumholz HM, Foody JM : Systolic hypertension in older persons. JAMA 2004; 292: 1074–1080.
National Intervention Cooperative Study in Elderly Hypertensives Study Group : Randomized double-blind comparison of a calcium antagonist and a diuretic in elderly hypertensives. Hypertension 1999; 34: 1129–1133.
Lloyd-Jones DM, Evans JC, Levy D : Hypertension in adults across the age spectrum: current outcomes and control in the community. JAMA 2005; 294: 466–472.
Japanese Society of Hypertension : Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2004). Hypertens Res 2006; 29 ( Suppl): S1–S105.
Chobanian AV, Bakris GL, Black HR, et al : The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289: 2560–2572.
Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20: 1183–1197.
K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. Am J Kidney Dis 2004; 43: S1–S290.
Pedone C, Corsonello A, Incalzi RA : Estimating renal function in older people: a comparison of three formulas. Age Ageing 2006; 35: 121–126.
Romhilt DW, Estes EH Jr : A point-score system for the ECG diagnosis of left ventricular hypertrophy. Am Heart J 1968; 75: 752–758.
Lucas DL, Brown RA, Wassef M, Giles TD : Alcohol and the cardiovascular system research challenges and opportunities. J Am Coll Cardiol 2005; 45: 1916–1924.
Hu G, Barengo NC, Tuomilehto J, Lakka TA, Nissinen A, Jousilahti P : Relationship of physical activity and body mass index to the risk of hypertension: a prospective study in Finland. Hypertension 2004; 43: 25–30.
Okumiya K, Matsubayashi K, Wada T, et al : A U-shaped association between home systolic blood pressure and four-year mortality in community-dwelling older men. J Am Geriatr Soc 1999; 47: 1415–1421.
Emberson J, Whincup P, Morris R, Walker M, Ebrahim S : Evaluating the impact of population and high-risk strategies for the primary prevention of cardiovascular disease. Eur Heart J 2004; 25: 484–491.
Thomson R, Greenaway J, Chinn DJ, Wood R, Rodgers H : The impact of implementing national hypertension guidelines on prevalence and workload in primary care: a population-based survey of older people. J Hum Hypertens 2005; 19: 683–689.
Kuwajima I, Kuramoto K, Ogihara T, et al : Tolerability and safety of a calcium channel blocker in comparison with a diuretic in the treatment of elderly patients with hypertension: secondary analysis of the NICS-EH. Hypertens Res 2001; 24: 475–480.
Wing LM, Reid CM, Ryan P, et al : A comparison of outcomes with angiotensin-converting−enzyme inhibitors and diuretics for hypertension in the elderly. N Engl J Med 2003; 348: 583–592.
Dahlof B, Sever PS, Poulter NR, et al : Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required, in the Anglo-Scandinavian Cardiac Outcomes Trial−Blood Pressure Lowering Arm (ASCOT-BPLA): a multicentre randomised controlled trial. Lancet 2005; 366: 895–906.
Mori H, Ukai H, Yamamoto H, et al : Current status of antihypertensive prescription and associated blood pressure control in Japan. Hypertens Res 2006; 29: 143–151.
Choi KM, Park HS, Han JH, et al : Prevalence of prehypertension and hypertension in a Korean population: Korean National Health and Nutrition Survey 2001. J Hypertens 2006; 24: 1515–1521.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, KI., Chang, HJ., Cho, YS. et al. Current Status and Characteristics of Hypertension Control in Community Resident Elderly Korean People: Data from a Korean Longitudinal Study on Health and Aging (KLoSHa Study). Hypertens Res 31, 97–105 (2008). https://doi.org/10.1291/hypres.31.97
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1291/hypres.31.97
Keywords
This article is cited by
-
S-amlodipine plus chlorthalidone vs. S-amlodipine plus telmisartan in hypertensive patients unresponsive to amlodipine monotherapy: study protocol for a randomized controlled trial
Trials (2018)
-
Association of urinary sodium/creatinine ratio with bone mineral density in postmenopausal women: KNHANES 2008–2011
Endocrine (2015)
-
Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore
Hypertension Research (2010)
